Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Comparison of the Factors Affecting Forward Head Posture in Academic Staff with Nonspecific Chronic Neck Pain: A Descriptive Study
Nonspesifik Kronik Boyun Ağrısı Olan Akademik Personelde İleri Baş Postürünü Etkileyen Faktörlerin Karşılaştırılması: Tanımlayıcı Çalışma
Naime ULUĞa , Erden KILIÇa , Sena Nur BEGENa , Cansu AKTAŞ ARSLANb , Gül Deniz YILMAZ YELVARc , Yasemin ÇIRAKc
aAtılım University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Türkiye
bSakarya Applied Sciences University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sakarya, Türkiye
cİstinye University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(3):521-9
doi: 10.5336/healthsci.2024-101989
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of the study the compare the factors affecting forward head posture in academic staff with nonspecific chronic neck pain. Material and Methods: Fifty subjects with nonspecific neck pain participated in this study. The subjects were divided into two groups, according to the cut-off value of the craniovertebral angle (CVA) as ''normal cervical posture'' and ''forward head posture(FHP+)''. Demographic information and the duration of sitting, computer and phone use were recorded. The pain severity during resting, sleep and activation were assessed using visual analog scale. The pain threshold of upper trapezius muscles and suboccipital region were assessed by algometer. Scapulothoracic muscle strength, deep cervical muscle endurance, and strength were assessed using a handheld dynamometer and a stabilizer pressure biofeedback unit, respectively. CVA was determined using photograph analysis methods. Cervical joint position sense was assessed using a dual digital inclinometer. Results: A total of 50 academic staff were included. Weight, body mass index and cell phone use duration were significantly higher in the FHP+ group(p=0.02; p=0.01). Also, the upper trapezius pain thresholds were significantly higher in the FHP+ group(p=0.02). Furthermore, significant difference was seen in the middle trapezius muscle strength, deep cervical flexor muscle endurance and joint position sense error, between the groups (p=0.02; p=0.03; p=0.01). Conclusion: In patients with nonspecific neck pain, FHP was associated with upper trapezius muscle pain thresholds, middle trapezius muscle strength and reduced deep cervical flexor muscle endurance and, neck joint position sense error respectively.

Keywords: Forward head posture; neck pain; academic staff
ÖZET
 Amaç: Çalışmanın amacı, nonspesifik kronik boyun ağrısı olan akademik personelde ileri baş pozisyonuna etkileyen faktörlerin karşılaştırılmasıdır. Gereç ve Yöntemler: Bu çalışmaya, nonspesifik kronik boyun ağrısı olan elli katılımcı dâhil edildi. Katılımcılar, kraniovertebral açı değerine göre ''normal servikal pozisyon'' ve ''ileri baş duruşu(FHP+)'' olmak üzere iki gruba ayrıldı. Demografik bilgiler ve oturma, bilgisayar ve telefon kullanım süresi kaydedildi. Dinlenme, uyku ve aktivasyon sırasındaki ağrı şiddeti, görsel analog skalası kullanılarak değerlendirildi. Üst trapezius ve suboksipital kaslarının ağrı eşiği algometre ile değerlendirildi. Skapulotorasik kas kuvveti, derin servikal kas kuvvet ve enduransı el dinamometresi ve stabilizer basınçlı biyofeedback ünitesi kullanılarak değerlendirildi. Kraniovertebral açı, fotoğraf analiz yöntemleriyle belirlendi. Servikal eklem pozisyon hissi, dijital inklinometre kullanılarak değerlendirildi. Bulgular: Toplam 50 akademik personel dâhil edildi. FHP+ grubunda kilo, beden kitle indeksi ve cep telefonu kullanım süresi anlamlı olarak daha yüksek olduğu belirlendi (p=0,02; p=0,01). FHP+ grubunda üst trapezius ağrı eşiğinin anlamlı olarak daha yüksek olduğu belirlendi (p=0,02). Gruplar arasında orta trapezius kas kuvveti, derin servikal fleksör kas dayanıklılığı ve eklem pozisyon hissi bakımıdan anlamlı fark olduğu belirlendi. (sırasıyla p=0,02; p=0,03; p=0,01). Sonuç: Nonspesifik boyun ağrısı olan hastalarda, FHP; üst trapezius kas ağrı eşiği, orta trapezius kas kuvveti, azalmış derin servikal fleksör kas dayanıklılığı ve servikal eklem pozisyon hissi ile ilişkilidir.

Anahtar Kelimeler: İleri baş postürü; boyun ağrısı; akademik personel
REFERENCES:
  1. Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010;24(6):783-92. [Crossref]  [PubMed] 
  2. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J. 2006;15(6):834-48. [Crossref]  [PubMed]  [PMC] 
  3. Patwardhan AG, Havey RM, Khayatzadeh S, Muriuki MG, Voronov LI, Carandang G, et al.Postural consequences of cervical sagittal ımbalance: a novel laboratory model. Spine (Phila Pa 1976). 2015;40(11):783-92. [Crossref]  [PubMed] 
  4. Chiu TT, Ku WY, Lee MH, Sum WK, Wan MP, Wong CY, et al. A study on the prevalence of and risk factors for neck pain among university academic staff in Hong Kong. J Occup Rehabil. 2002;12(2):77-91. [PubMed] 
  5. Nejati P, Lotfian S, Moezy A, Moezy A, Nejati M. The relationship of forward head posture and rounded shoulders with neck pain in Iranian office workers. Med J Islam Repub Iran. 2014;28:26. [PubMed]  [PMC] 
  6. Nejati P, Lotfian S, Moezy A, Nejati M. The study of correlation between forward head posture and neck pain in Iranian office workers. Int J Occup Med Environ Health. 2015;28(2):295-303. [Crossref]  [PubMed] 
  7. Jun D, Zoe M, Johnston V, O'Leary S. Physical risk factors for developing non-specific neck pain in office workers: a systematic review and meta-analysis. Int Arch Occup Environ Health. 2017;90(5):373-410. [Crossref]  [PubMed] 
  8. Sauter SL, Schleifer LM, Knutson SJ. Work posture, workstation design, and musculoskeletal discomfort in a VDT data entry task. Hum Factors. 1991;33(2):151-67. [Crossref]  [PubMed] 
  9. Çalik BB, Atalay OT, Baskan E, Gokçe B. Bilgisayar kullanan masa başı çalışanlarında kas iskelet sistemi rahatsızlıkları, işin engellenmesi ve risk faktörlerinin incelenmesi [Analyzing musculoskeletal system discomfort, work interference and risk factors of office workers with computer users]. Clinical and Experimental Health Sciences. 2013;3(4):208. [Link] 
  10. Özdinç S, Kayabınar E, Özen T, Turan FN, Yılmaz S. Musculoskeletal problems in academicians and related factors in Turkey. J Back Musculoskelet Rehabil. 2019;32(6):833-9. [Crossref]  [PubMed] 
  11. Suvarnnato T, Puntumetakul R, Uthaikhup S, Boucaut R. Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial. J Pain Res. 2019;12:915-25. [Crossref]  [PubMed]  [PMC] 
  12. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17(1):45-56. [Crossref]  [PubMed] 
  13. Fischer AA. Algometry in diagnosis of musculoskeletal pain and evaluation of treatment outcome: an update. Journal of Musculoskeletal Pain. 1998;6(1):5-32. [Crossref] 
  14. Karaağaç A, Arslan SA, Keskin ED. Assessment of pain, scapulothoracic muscle strength, endurance and scapular dyskinesis in individuals with and without nonspecific chronic neck pain: a cross-sectional study. J Bodyw Mov Ther. 2023;35:261-7. [Crossref]  [PubMed] 
  15. Lee KW, Kim WH. Effect of thoracic manipulation and deep craniocervical flexor training on pain, mobility, strength, and disability of the neck of patients with chronic nonspecific neck pain: a randomized clinical trial. J Phys Ther Sci. 2016;28(1):175-80. [Crossref]  [PubMed]  [PMC] 
  16. Diéguez-Pérez M, de Nova-García MJ, Mourelle-Martínez MR, González-Aranda C. The influence of crossbite in early development of mandibular bone asymmetries in paediatric patients. J Clin Exp Dent. 2017;9(9):e1115-e20. [PubMed]  [PMC] 
  17. Shaghayegh Fard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J. 2016;25(11):3577-82. Erratum in: Eur Spine J. 2021;30(10):3135. [Crossref]  [PubMed] 
  18. Kaur T, Krishan K, Kaur P, Sharma SK, Kumar A. Application of tpsDig2 Software in Nasal Angle Measurements. J Craniofac Surg. 2020;31(1):319-25. [Crossref]  [PubMed] 
  19. Gong W. Effects of cervical joint manipulation on joint position sense of normal adults. J Phys Ther Sci. 2013;25(6):721-3. [Crossref]  [PubMed]  [PMC] 
  20. Hayran M, Hayran M. Sağlık Araştırmaları için Temel İstatistik. 3. baskı. Ankara: Art Ofset Matbaacılık Yayıncılık Organizasyon Ltd. Şti.; 2011.
  21. Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM, Silva AG. The relationship between forward head posture and neck pain: a systematic review and meta-analysis. Curr Rev Musculoskelet Med. 2019;12(4):562-77. [Crossref]  [PubMed]  [PMC] 
  22. Gustafsson E, Thomée S, Grimby-Ekman A, Hagberg M. Texting on mobile phones and musculoskeletal disorders in young adults: a five-year cohort study. Appl Ergon. 2017;58:208-14. [Crossref]  [PubMed] 
  23. Hoffman JM, Margolis KG. Building community in the gut: a role for mucosal serotonin. Nat Rev Gastroenterol Hepatol. 2020;17(1):6-8. [Crossref]  [PubMed]  [PMC] 
  24. Kılınç HE, Karaduman AA. Sağlıklı genç yetişkinlerde vücut kütle indeksi ve boyun mekaniği ilişkisinin incelenmesi: tek merkezli kesitsel bir çalışma [Investigation of relationship between body mass ındex and neck biomechanics in healty young adults: a cross-sectional study in a single center]. Türkiye Diyabet ve Obezite Dergisi. 2021;5(2):173-9. [Crossref] 
  25. Borna L, Ahmadi A, Sarafzadeh J, Maarufi N. Comparison of cervical flexion relaxation phenomenon between forward head posture and healthy subjects. Journal of Modern Rehabilitation. 2016;9(7):65-71. [Link] 
  26. Melillo SM. An alternative interpretation of the Australopithecus scapula. Proc Natl Acad Sci U S A. 2015;112(52):E7159. [Crossref]  [PubMed]  [PMC] 
  27. Morris CE, Greenman PE, Bullock MI, Basmajian JV, Kobesova A. Vladimir Janda, MD, DSc: tribute to a master of rehabilitation. Spine (Phila Pa 1976). 2006;31(9):1060-4. [Crossref]  [PubMed] 
  28. Mohamed O, Perry J, Hislop H. Relationship between wire EMG activity, muscle length, and torque of the hamstrings. Clin Biomech (Bristol, Avon). 2002;17(8):569-79. [Crossref]  [PubMed] 
  29. Lee KJ, Han HY, Cheon SH, Park SH, Yong MS. The effect of forward head posture on muscle activity during neck protraction and retraction. J Phys Ther Sci. 2015;27(3):977-9. [Crossref]  [PubMed]  [PMC] 
  30. Opara M, Kozinc Ž. Which muscles exhibit increased stiffness in people with chronic neck pain? A systematic review with meta-analysis. Front Sports Act Living. 2023;5:1172514. [Crossref]  [PubMed]  [PMC] 
  31. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther. 2008;13(1):2-11. [Crossref]  [PubMed] 
  32. Lee MY, Lee HY, Yong MS. Characteristics of cervical position sense in subjects with forward head posture. J Phys Ther Sci. 2014;26(11):1741-3. [Crossref]  [PubMed]  [PMC] 
  33. Ghamkhar L, Kahlaee AH. Is forward head posture relevant to cervical muscles performance and neck pain? A case-control study. Braz J Phys Ther. 2019;23(4):346-54. [Crossref]  [PubMed] 
  34. Cheng CH, Wang JL, Lin JJ, Wang SF, Lin KH. Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain. J Electromyogr Kinesiol. 2010;20(5):1014-20. [Crossref]  [PubMed] 
  35. Ha SY, Sung YH. A temporary forward head posture decreases function of cervical proprioception. J Exerc Rehabil. 2020;16(2):168-74. [Crossref]  [PubMed]  [PMC] 

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